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NPI Code Detail

MEDICARE: DR. ANOOP K REDDY M.D

MEDICARE:  DR. ANOOP K REDDY  M.D
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
12084N0400XNeurology PhysicianME0068992FL

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1912921024
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. ANOOP K REDDY M.D
Provider Business Mailing Address
First Line : 4446 E FLETCHER AVE
Second Line : SUITE E
City : TAMPA
State : FL
Zip : 33613-4942
Country : US
Telephone Number : 813-558-8878
Fax Number : 813-558-0259
Provider Business Practice Location Address
First Line : 4446 E FLETCHER AVE
Second Line : SUITE E
City : TAMPA
State : FL
Zip : 33613-4942
Country : US
Telephone Number : 813-558-8878
Fax Number : 813-558-0259
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/26/2006
Last Update Date : 07/08/2007

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Directions to “ DR. ANOOP K REDDY M.D” Practice Location

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